I here by declare
that all the entries/statements made in this application are
true, complete and correct to the best of my knowledge and
belief. In the event of any information being found false or
incorrect or ineligibility being detected before or after the
examination, the Commission can take action against me as per
rule incase it is detected that I have misled Telangana State
Public Service Commission on any issue then I will be solely
responsible for all penal consequences thereof.

I accept
the above declaration

Aadhaar Details

Unique Identification Number
(UID)/Aadhaar Number/ Enrolment ID

Name as on (UID)/Aadhaar
Card

Basic Details

Personal Details

Name as
in SSC or Equivalent Certificate:

Gender:

Date of Birth :

Place
of Birth:

Community :

Father's
Name:

Mother's
Name:

Mother
Tongue:

Religion:

Identification Marks 1:

Identification Marks 2:

Are you a Differently Abled
Person?

SADAREM
certificate number.

Differently Abled Details

Visually impaired-

Percentage of Disability

Hearing impaired-

Percentage of Disability

Orthopaedically challenged-

Percentage of Disability

Do you need a scribe?

CEREBRAL PALSY?

Are you an
ExService Person?

Length of Service :

Ex-service Person Details

PPO No.

Date of Discharge / Probable Discharge

Have you
availed ExService reservation for any Government job earlier ?